BETHANY R WILCOX (NPI# 1750851036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750851036 |
| Entity Type | Individual |
| Full Name | BETHANY R WILCOX |
| Credential | LCSW |
| Practice Address |
6037 W Us Highway 90 Lake City FL 32055-8196 |
| Mailing Address |
2264 Nw 15th Ave Gainesville FL 32605-5219 |
| Practice Telephone | 3867529191 |
| Mailing Telephone | 3522626488 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15771 | FL | Behavioral Health & Social Service Providers |
| Street Address |
6037 W US HIGHWAY 90 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-8196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073901021 | Jillian Marie Rhoades | Social Worker | 377 Edge Park Dr, Lake City, PA 16423-1710 | 2014-12-29 |
| 1144489808 | Madonna Ann Moss | Social Worker | 1435 Us Hwy 90 W, Lake City, FL 32025 | 2008-06-06 |
| 1174740815 | Moser Family Therapy | Social Worker | 343 E Duval St, Suite 101, Lake City, FL 32055-4088 | 2007-04-20 |
| 1669496782 | Marilyn Matthews | Social Worker | 619 S. Marion Ave, Va Hospital, Lake City, FL 32025 | 2006-07-26 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1437714144 | Tiffany S Richardson | Social Worker | 260 S Marion Ave Ste 105, Lake City, FL 32025-7034 | 2019-05-08 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1376054437 | Danielle Dinger | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2017-10-17 |
| 1023478138 | Jennifer Ashley Rich | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2016-03-02 |
| 1760852768 | Mark A. Hilliard Sr. | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2015-10-02 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.